关节镜下自体膝关节骨软骨移植联合复合凝胶修复软骨缺损
Zhejiang Clinical Medical Journal(2015)
Abstract
目的:探讨关节镜下应用自体骨软骨移植联合复合凝胶修复膝关节软骨缺损的临床疗效。方法33例单个软骨缺损创面的患者采用关节镜下自体骨软骨移植联合含TGF-β、IGF-Ⅰ的复合凝胶修复软骨缺损。结果33例患者全部获得随访,平均随访时间25个月,术前膝关节Brittberg-Peterson功能评分平均72分,术后平均31分。术后MRI检查软骨面均基本平整。结论自体骨软骨镶嵌移植术联合含TGF-β、IGF-Ⅰ的复合凝胶对修复局限性软骨缺损效果确切,长期随访结果满意,同时,其对面积较大的软骨缺损的修复能力优于单纯自体骨软骨镶嵌移植术。
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Key words
Arthroscopy,Cartilage defects,Osteochondral autograft,Gelatum
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